On any given day at the mall, the sports field or the movies, 8-year-old Rosa Marcellino hears people say, "That's so retarded," or "You're such a retard."

"Even good kids use the word, not realizing that they're talking about people like my sister," said Rosa's brother Nick, a Maryland 14-year-old.

"We're not allowed to use the words at my house, it would be just like saying a curse word," said Nick in testimony to Maryland legislators. "We're also not allowed to use other words that are hurtful to minorities or people who are different."

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Rosa -- who Nick calls the "smartest person I know" -- has Down syndrome and is now at the center of a bill in Congress to strike the term "mentally retarded" from the federal lexicon.

Last January, Nick, who is a freshman at South River High School in Edgewater, Md., convinced his state legislature to change the official phrase to "individual with an intellectual disability."

The law would affect how Americans refer to the more than 6 million adults and children who are diagnosed with intellectual disabilities.

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"The word retarded is slang to call someone stupid, and we know Rosa is not stupid at all," Nick told ABCNews.com. "Words are important."

The solution, Mikulski said, is to be called Rosa's Law, and it will cost taxpayers nothing.

"It brings us out of the dark ages and into a world of evolved sensibilities by retiring an archaic term that equates the person with the disability and substituting it with a term that references the type of disability," Mikulski told her fellow senators.

Today, the proposed federal health insurance bill from the House of Representatives still uses what many consider to be an offensive term, referring to "a hospital or a nursing facility for the mentally retarded."

And even in Maryland, the term must be used to comply with U.S. Census designations.

It all began as a family effort when Rosa's elementary school changed the coding on her education plan from "health impaired" to "mentally retarded," said her mother, Nina Marcellino.

"When I came home and told the kids, they didn't know it was the word people used to describe their sister," she told ABCNews.com.

The school principal agreed to drop the designation and Rosa's sisters Gigi, 12, and Maddie, 10, set out to get petitions signed.

"My sister might be one of the smartest kids I've ever met, and that's the truth!" Nick told legislators. "It might take her longer to learn some things, and you can't always understand everything she says. She'll never be 'just like' most people, but hopefully, neither will I."

Today, most advocacy groups use phrases like "mentally challenged" or "intellectual disability" or the broader term, which also encompasses autism and cerebral palsy, "developmental disability."

"Mental illness, more than any other disability, has gone through these iterations of names," said Donald Freedheim, professor emeritus of psychology at Case Western Reserve University in Ohio.

"It's so prevalent, kids calling kids dummies -- it's always a derogatory term," he told ABCNews.com. "We've gone through moron, imbecile to mentally sub-normal to mentally deficient. You can practically write a history of mental retardation."

And no sooner does one term change than the new replacement becomes "stigmatizing," he said.

Still, he agrees the words need to change. "It's a horrible added burden to children and families."

Ron Drabman, a clinical psychologist and former director of psychology training at the University of Mississippi Medical Center, said schools need to do more than just change words.

"Words are important, but it's more important to protect children," he told ABCNews.com. "But it's much more difficult."

And some are skeptical that a Senate vote would accomplish much.

"I am Nick," said Kris Alexander Eschauzier of Portland, Maine. "My brother Blake is 'mentally retarded' and oh, how I hated it. And I still do when people throw around those phrases such as 'retard' and 'that's so retarded.'"

"Unfortunately, I don't think changing an official government designation will do much to stop the hurt," she told ABCNews.com.

But Nina Marcellino and her family say the issue is larger than just changing the lexicon.

"It was more than words to us," she said. "We all felt like you cannot separate what you call people from how you treat people. Attitudes have been changing and everybody felt that with a new term, it was a new beginning."